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[口腔、口咽和下咽以及喉部肿瘤的核磁共振断层扫描分期。与计算机断层扫描和超声检查的比较]

[Nuclear magnetic resonance tomographic staging of tumors of the oral cavity, oro- and hypopharynx and the larynx. A comparison with computed tomography and sonography].

作者信息

Gademann G, Haels J, König R, Mende U, Lennarz T, Kober B, van Kaick G

出版信息

Rofo. 1986 Nov;145(5):503-9. doi: 10.1055/s-2008-1048979.

Abstract

Thirty-six patients with tumours of the mouth, the oropharynx and hypopharynx and the larynx were examined by nuclear resonance tomography. The results were compared with the clinical findings of inspection and palpation and with CT and sonography, with respect to T and N classification. In seven patients the classification could be confirmed at operation. NMR provides very good anatomical detail and marked contrast between tumour and the surrounding tissues, particularly on T2 weighted images. NMR showed the best correlation with the clinical findings as regards the T classification and was the most accurate method, as confirmed by surgery. It is superior to CT and sonography for diseases in the oropharynx and hypopharynx. For the examination of the cervical lymphatics, sonography remains the recommended method.

摘要

对36例患有口腔、口咽、下咽及喉部肿瘤的患者进行了核磁共振断层扫描检查。将结果与视诊和触诊的临床发现以及CT和超声检查结果进行了比较,涉及T和N分类。7例患者的分类在手术时得到了证实。核磁共振成像提供了非常好的解剖细节,肿瘤与周围组织之间有明显的对比,特别是在T2加权图像上。就T分类而言,核磁共振成像与临床发现的相关性最好,并且是最准确的方法,手术证实了这一点。对于口咽和下咽疾病,它优于CT和超声检查。对于颈部淋巴管的检查,超声检查仍然是推荐的方法。

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